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PINNACLE WOMEN'S CENTER LLC NPI 1881084838


NPI Profile

NPI: 1881084838
Provider Name: PINNACLE WOMEN'S CENTER LLC

Doing Business As: DESIREE BROTSKY, DO

Classification:Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 03D2105475

Address:
15396 N 83RD AVE STE F100
PEORIA, AZ
ZIP 85381
Get Directions

Phone: (602) 595-9696

PINNACLE WOMEN'S CENTER LLC is an obstetrics gynecology in Peoria, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PINNACLE WOMEN'S CENTER LLC NPI is 1881084838. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Desiree Brotsky, Do.

The provider's business location address is:

15396 N 83RD AVE STE F100
PEORIA, AZ
ZIP 85381
Phone: (602) 595-9696
Fax: (623) 412-9123

The provider's authorized official is Teresa Sawyer .
The authorized official title is Admin and has the following contact phone number (602) 626-5453.

The CLIA number assigned to this NPI record is 03D2105475 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 11/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology005718ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1578635MEDICAIDARIZONA
21043422777OTHERARIZONAINDIVIDUAL NPI
3632408MEDICAIDARIZONA
41144289232OTHERARIZONAINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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